Hip OA Part II

Hip OA Part II


According to the American College of Rheumatology patients can be classified as having hip OA if they present with pain and either of the following cluster findings:

 -Hip IR less than 15 degrees, with pain
 -Hip flexion of less than 115 degrees
 -age greater then 50


 -Hip IR less than 15 degrees, with pain
 -Duration of morning stiffness less than or equal to 60 minutes
 -age greater then 50
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Sensitivity of 86%: Specificity of 75% when compared to radiographs
The following Tests should be utilized during examination FOR DIFFERENTAIL DIAGNOSIS:

-Scour test for labral tears
-FABER (Patrick’s) Test for labral tears
-Fitzgerald’s test for labral tears
-Flexion-adduction internal rotation test for labral tears
-Sacroiliac joint provocation testing for SI joint pain
-Femoral nerve stretch for L2-3 radiculopathy

Outcome Measures

-Harris Hip Score


-Anti-inflammatory provide temporary relief

-Glucosamine studies indicate mix results with some indicating short-term improvement but most studies indicate minimal to non-existent short term to long term benefits

-Injections- Research indicates they may provide short term relief.

Patient education- Self management techniques have been effective in improving function, reducing stiffness, fatigue, and medical usage

Exercises:  ROM and strengthening have been advocated and been deemed affective by multiple research articles.  3 categories of exercise include:

 -Muscle strengthening
 -Aerobic conditioning